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Contact Information

BETHANY R NIELSEN, DDS
101 MERRILL AVE, BOX 1010
NORTH SIOUX CITY, SD57049
 Phone: 605-232-8802
 Fax: 605-232-0973
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

General Practice

1223G0001X
Indicates primary specialty

NPI Profile & details for BETHANY R NIELSEN · (Female)

NPI Number 1265514681
Status Active
Credentials DDS (Doctor of Dental Surgery)
Entity Individual
Enumeration date 10/19/2006
Last updated 07/08/2007 - About 19 years ago
Sole proprietor 1 No
Identifiers
  • SD License # D0615
  • IA Medicaid 0722009
  • NE Medicaid 46044478613
  • SD Medicaid 46044478600
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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